In August 2008, the Department of Health asked The King's Fund to lead a stakeholder engagement review on the proposal for a Centre of Excellence. This report reflects what was heard from stakeholders during the consultation and sets out a series of recommendations that aim to support effective implementation. [Summary]
This report describes the way in which Trafford South Primary Care Group consulted local people about older people's services. It decided to host two day-long events for local people, inviting their comments on the health and social care needs of older people in the area. A key feature was the ...
This technical paper offers an understanding of the different contracting, reimbursement and incentive mechanisms available to deliver value and outcomes-based healthcare in a UK context.
This is the second digital edition of the Quarterly Monitoring Report (QMR). The new QMR still includes a shorter PDF of the headline findings this quarter, but also features digital versions of the survey results, interactive performance data charts and an infographic with the key findings for this quarter. and Our Quarterly Monitoring Report (QMR) reveals the views of NHS trust finance directors and clinical commissioning group finance leads on the productivity challenges they face, and examines some key NHS performance data.
Street drinking has a major negative effect on communities and drinkers alike. But street drinkers often find it hard to get the support they need, especially those who are unable or unwilling to stop drinking. There is widespread interest in how far wet centres can offer a way forward. In ...
This background paper looks at the evidence and information informing the demographic, economic, social, health and other relevant trends over the next 20 years that are likely to affect the demand for, and nature of, social care for older people in England. The full report is due in Spring 2006. ...
Securing good care for more people: options for reform proposes new, fairer funding arrangements for adult social care, a review of the current settlement for older people and a long-term staged approach to reform based on political consensus. While demonstrating that the cost of the social care system is set ...
In 2009, The King’s Fund and the Burdett Trust for Nursing set out to ‘bring the ward to the board’, emphasising the role of the nurse executive in ensuring that boards are as fully engaged with the clinical quality agenda as they are with financial performance. As leaders of the ...
Continuity of care contributes importantly to patient experience, whether it's continuity of a relationship, by seeing the same GP, or management continuity, that coordinates an individual’s care across the wider health care system. However, continuity is not monitored or incentivised in the same way as other aspects of good practice. ... and This paper was commissioned by The King’s Fund to inform the panel of the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel.
The government is committed to improving the quality of care, and as part of this commitment they aim to make more information available to the public about the performance of trusts. Providers of NHS services are now required to publish quality accounts – reports for the public on the quality ...
The contents of this paper come from a review of the literature on compassion, or concepts related to it, and from views and comments arising from the workshop on this topic held in November 2008. The experiences of workshop members were collected on the day and by anonymous written contributions, ...
In 2008 the NHS celebrates its 60th birthday. This briefing looks at key health care issues over the last 60 years and forward to its 120th birthday. [Introduction]
General practice has changed considerably over the past decade. Practice size has increased, the workforce has grown and become more diverse, the range of services offered has expanded, and the contracting and financing arrangements for GPs have changed. Current government policy aims to improve access and choice for patients, to ...
Independent sector treatment centres (ISTCs) provide services to NHS patients but are owned and run by organisations outside the NHS. This briefing paper explains why ISTCs were introduced, and how they are funded, staffed and regulated. It assesses their impact so far, including the quality of their services and whether ...
The King's Fund response to the National Institute for Health and Clinical Excellence consultation on new indicators for the Quality and Outcomes Framework (QOF). The King's Fund broadly supports the introduction of each of the new indicators, particularly the six mental illness indicators as there is strong evidence of the ...
Since internal markets were created in the NHS, commissioners have purchased health care on behalf of patients and the public from a variety of competing providers. Commissioning was intended to drive improvements in the quality, accessibility and cost-effectiveness of services, but has so far largely failed to achieve these objectives. ...
For the past three years patients referred by their GP for a specialist outpatient consultation have had a choice over where to be treated. As part of a larger research project, a survey was sent to patients in four case study areas of England to ask them about their experience ...
Unhealthy behaviours - smoking, alcohol misuse, poor diet, lack of exercise - lead to ill health, with resulting costs to individuals, to the NHS and to society as a whole. PCTs are expected to commission support to help people change their behaviour to adopt healthier lifestyles - but what should ...
The government’s End of Life Care Strategy set out to improve the care that patients receive at the end of their life and to give them meaningful choice about where they are cared for and where they die. Implementation of the strategy has proved challenging, however, for a number of ...
If the health of the population is to improve significantly, patients need to be engaged in managing their own health. The increase in availability of information, developments in new technology, and changes in public attitudes mean that patients want to interact differently with health services. These developments present a challenge ...
This review assesses how far the investment and accompanying reforms since 1997 have transformed the NHS in England into a high-performing health system. The review focuses on England because health policy has now diverged from that in the devolved administrations of Scotland, Wales and Northern Ireland. It has drawn on ...
NHS spending in England may have more than doubled in real terms since 1999/2000, but the prospects for future funding now look bleak. Although there is consensus that the NHS faces a tough financial future, there is no agreement about just how cold the financial climate will be. Starting with ...
In 2006 a pilot programme was launched in partnership with six NHS trusts, supported by their charities, and two Marie Curie Cancer Care hospices to improve Environments for Care at End of Life. The objective was to see whether the King's Fund run Enhancing the Healing Environment (EHE) could be ...
The pace of change and reform in the NHS has been relentless as government and those who work in the NHS seek ways to improve the service. The King's Fund set up an expert working group to examine how effective the current incentives were in achieving this aim. The group ...
Ensuring that you are measuring the things that matter most to patients is an essential component of a successful strategy for improving patients' experience. It is important to choose methods that are fit for purpose. This paper provides a brief guide to these to help trust boards and other interested ...
Primary care trusts (PCTs) spend around 75 per cent of the NHS budget in England. How do they decide on their spending priorities? This paper examines the data collected by the Department of Health on the amounts PCTs spend on the 23 programmes of care based on medical conditions such ... and An update to the briefing "Local variations in NHS spending priorities" published in 2006.
Workforce planning for the NHS is a large undertaking. The NHS in England employs approximately 1.3 million staff, 70 per cent of recurrent NHS costs relate to staffing, and more than £4 billion is spent annually on staff training. Securing a sufficient number of staff with the appropriate skills and ...
The National Institute for Health and Clinical Excellence (NICE) is acknowledged as a world leader in its field, yet the prevailing media image of NICE is as a controversial mechanism for denying patients expensive new drugs. Teresa Poole looks at how NICE appraises new and existing drugs through clinical and ...
The policy of offering patients a choice in where they receive hospital treatment was intended to create competition between providers, encouraging efficiency and responsiveness to patients’ preferences and ultimately to drive up the quality of care. So has the policy met those aims? Since January 2006, patients requiring a referral ...
Recognising the significance of mental health in terms of both expenditure and the overall health of the population, the King's Fund commissioned a review. This report presents current and projected needs for mental health services and their related costs. It gives details on a number of specific disorders, including depression, ...
Practice-based commissioning (PBC) has been a major strand of NHS policy since 2005. There continues to be a high level of commitment to the policy among GPs, but many still remain hesitant about its impact to date and unsure if its potential will be fulfilled. In 2007, The King's Fund ...
This briefing examines the recent history of the quality and safety, financial and economic regulation of health care providers in England. It describes the new regulatory machinery that is being introduced and considers how the relationship between these different regulatory systems may develop in the future. [Introduction]
How can we ensure that patients in hospital are treated with respect and compassion? The Point of Care programme has been set up to transform patients' experience of care in hospital, and to enable health care staff to deliver high-quality care. Based on existing research and qualitative studies with patients ...
Primary care trusts (PCTs) provide a broad and complex range of community-based services. However, the commissioning and management of these services have been a challenge for the NHS and in particular for PCTs. As PCTs provide community health services, there is a potential conflict of interest for their role as ...
Government health policy has been encouraging a shift in the balance of care from hospital to community settings. The Department of Health commissioned The King's Fund, in partnership with Loop2, to undertake a simulation-based project entitled SeeSaw to understand how this shift in care could be achieved. This report outlines ...
How are top-ups distinct from other charges in the NHS and why have they become such a contentious issue now? This briefing gives some background on the relevant legislation and guidance in this area. [Introduction]
Social and technological changes are challenging doctors, causing many to rethink their role, the way they practise and the nature of their professionalism. What does the future hold? The Royal College of Physicians and the King's Fund convened ten events around England and Wales where doctors and other health professionals ...
As part of Lord Darzi's review of the NHS, each strategic health authority (SHA) outside London was commissioned to produce a report outlining their 'vision' for care in their region over the coming decade. This briefing provides a thematic summary of some of the key features of the nine SHA ...
In recent years, NHS boards have often been preoccupied with financial performance, but they also have to engage with the quality of clinical care. A programme of work developed by The King's Fund, in partnership with the Burdett Trust for Nursing, has focused on the role of nurse executives in ...
In July 2007 Professor Lord Ara Darzi, a surgeon and health minister, started a wide-ranging review of the NHS in England and the final report is due to be published before the 60th anniversary of the NHS on 5 July 2008. This briefing provides the background of the review and ...
The current system for funding adult social care in England has been criticised as unfair, complex and financially unsustainable. There are significant local variations in who is eligible for what kinds of support and a host of complicated local and national rules that apply to the funding of different elements ...
The challenges facing the NHS at present are the same core challenges that face all organisations, commercial or otherwise: the delivery of an effective and efficient service with limited resources. While commercial organisations may additionally seek to make profit from this process, the differences in ownership, objectives and structure between ...
It has long been recognised that engagement of employees with their work and organisation is a factor in their job performance, but the research evidence for this has been steadily increasing over recent years. In this article we summarise this evidence along with the theories underlying it,
paying special attention ... and This paper was commissioned by The King’s Fund to inform its review of leadership in the NHS.
This paper was commissioned by The King’s Fund to inform its review of leadership in the NHS. and One of the major consequences of the failures in quality of care and patient safety in the NHS, exposed by the public inquiries such as those relating to Bristol Royal Infirmary and Mid Staffordshire NHS Foundation Trust, has been the Department of Health’s initiatives to improve the governance and leadership ...
In response to the commitment to clinical leadership, The King’s Fund instigated a project to determine the impact leadership programmes have on individuals and the system. Junior doctors who had completed or were currently on leadership programmes were interviewed in order to determine their experiences and aspirations for the future. and This paper was commissioned by The King’s Fund to inform its review of leadership in the NHS.